Barbara McWaters
Crofton
Summary
Results-driven professional with extensive experience in customer service, staff management, and problem-solving. Proven ability to streamline processes and enhance patient experiences through effective communication and relationship building.
Overview
1985
1985
years of professional experience
Work History
PFS Supervisor
Jennie Stuart Health
Hopkinsville, KY
2005 - 2026
- Supervised daily operations to ensure compliance with health regulations and standards.
- Coordinated staff schedules to optimize workforce efficiency and coverage.
- Implemented training programs to enhance team performance and service delivery.
- Monitored patient care processes to identify areas for quality improvement.
- Evaluated staff performance, providing constructive feedback and mentorship for professional growth.
- Streamlined communication between departments to enhance collaboration and patient outcomes.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Reduced employee turnover by fostering a positive work environment and providing ongoing feedback to staff members.
- Improved customer satisfaction with prompt and courteous resolution of inquiries and complaints.
Medical Biller
Jennie Stuart Health
Hopkinsville, KY
1984 - 2005
- Processed medical claims using billing software to ensure accuracy and timely submissions.
- Reviewed patient records for completeness, verifying insurance information and coding compliance.
- Resolved billing discrepancies by communicating effectively with healthcare providers and insurance companies.
- Assisted in training new staff on billing procedures and software utilization to enhance team efficiency.
- Maintained up-to-date knowledge of regulations affecting medical billing practices to ensure compliance.
- Collaborated with clinical teams to streamline documentation processes for improved billing accuracy.
- Conducted audits of submitted claims, identifying errors and implementing corrective actions as needed.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
- Responded to customer concerns and questions on daily basis.
- Maintained accurate records of customer payments.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
Registrar
Jennie Stuart Medical Center/Deaconess
Hopkinsville, KY
07.1982 - 06.1984
- Registered patient information accurately in electronic health record systems.
- Verified insurance eligibility and benefits for patients prior to appointments.
- Assisted with resolving patient inquiries regarding registration and billing issues.
- Maintained confidentiality of sensitive patient information in compliance with HIPAA regulations.
- Educated patients on necessary paperwork and documentation required for services.
- Streamlined registration processes, enhancing overall patient experience and satisfaction.
- Improved patient satisfaction by efficiently registering patients and verifying insurance information.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient financial problems with guidance from documented guidelines and procedures.
- Contributed to a positive work environment by consistently providing exceptional customer service to both patients and colleagues.
- Collaborated with interdisciplinary teams to ensure seamless coordination of care during the registration process.
- Ensured compliance with hospital protocols by staying current on industry regulations and attending regular training sessions.
- Upheld the highest standards of professionalism while interacting with diverse populations seeking medical assistance.
- Maintained accurate patient records with diligent data entry and attention to detail.
- Enhanced communication between medical staff and patients, providing clear explanations of procedures and policies.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Performed various administrative tasks by filing, copying and faxing documents.
- Obtained payments from patients and scanned identification and insurance cards.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Processed medical insurance claims and payments.
- Assisted with medical coding and billing tasks.
- Managed office bookkeeping with insurance billing and patient payments.
Education
High School Diploma -
Christian County High School
Hopkinsville KY Skills
- Training and mentoring
- Goal oriented
- Staff management
- Customer service
- Decision-making
- Employee motivation
- Complex Problem-solving
- Analytical thinking
- Team building
- Relationship building
- [Software] experience
- Data analytics
- Verbal and written communication
- Documentation and reporting
- Multitasking
- Customer relations
- MS office
- Adaptability
Accomplishments
Started as a registrar and worked my way up in the company to supervisory role.
Timeline
Registrar
Jennie Stuart Medical Center/Deaconess
07.1982 - 06.1984
PFS Supervisor
Jennie Stuart Health
2005 - 2026
Medical Biller
Jennie Stuart Health
1984 - 2005
High School Diploma -
Christian County High School
Worked my way up in the company
Registrar, Biller, Team Lead, and then to PFS Supervisor